Mantilla, Michelle

Mantilla, Michelle is an individual health care provider with primary practice located at 4175 W 20Th Ave , Hialeah FL 33012-5874. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mantilla, Michelle can be contacted via phone (305) 825-0300.

Contact Information

Primary practice address
4175 W 20Th Ave Hialeah FL 33012-5874
Phone: (305) 825-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8859 Florida

Profile Details

NPI number 1568898807
LBN Legal business name Mantilla, Michelle
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Mar 22nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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